Health Insurance - Step Therapy or Fail-First Protocol and Prior Authorization - Revisions
Sponsor: Steve Johnson (District 34A)Committee: Health and Government OperationsSubject: Health - InsuranceStatus: Approved by the Governor - Chapter 365 (as of Nov 9, 2023)
What this bill does
Official synopsis
Requiring certain insurers, nonprofit health service plans, and health maintenance organizations to establish a certain process for requesting an exception to a step therapy or fail-first protocol; prohibiting certain insurers, nonprofit health service plans, and health maintenance organizations from requiring more than a certain number of prior authorizations for a prescription for different dosages of the same prescription drug; etc.
AI analysis is off. Set ANTHROPIC_API_KEY to enable summaries, pros and cons, and questions.
Analysis reads the bill text, the fiscal note, and the witness list. It is generated by Claude and reviewed by nobody, so check the source documents before you rely on it.
Testimony (33)
MGA witness listFAV 24FavorableFWA 2Favorable with amendmentsUNF 7Unfavorable
Organizations on record
Brocato & ShattuckFAV 1
CancerCareFAV 1
Funk & Bolton, P.A.UNF 1
Kaiser PermanenteUNF 1
National MS SocietyFAV 2
OAG/HEAUFWA 1
RWLUNF 1
RWL on behalf of SCIUNF 1
Sheppard PrattFAV 1
Registered lobbyists who testified
FAVShattuck, DanielBrocato & ShattuckRegistered for: Acorn Health; American Physical Therapy Association Maryland - APTA MD; Arthritis & Rheumatism Associates, P.C.; Associates in Radiation Medicine; League for People with Disabilities, The; Maryland Academy of Nutrition and Dietetics…
FAVHowe, JoshCompass Gov't. Relations obo MD Association for Justice (MAJ)Registered for: Maryland Association for Justice, LLC.; American Massage Therapy Association - MD Chapter; National Alliance for the Mentally Ill Maryland (NAMI MD); NexAmp, Inc.; JJF Management Services, Inc.; Maryland State Perfusion Society, Inc.
FAVPeters, SarahHusch Blackwell StrategiesRegistered for: Action Now Initiative, LLC; Alibaba; Ameresco; American Diabetes Association; Apartment & Office Building Association; Barwood Taxi Service…
FAVWood, ShannonNational Multiple Sclerosis SocietyRegistered for: National Multiple Sclerosis Society
FAVPaddy, MichaelPublic Policy PartnersRegistered for: American Cancer Society Cancer Action Network; Campaign to Protect Patient Health d/b/a Value of Care Coalition; Chase Brexton Health System; Diabetes Patient Advocacy Coalition; Gaudenzia, Inc.; Gilead Sciences, Inc.…
FAVKauffman, DannaRegistered for: Amazon.com Services, LLC; American Association of Dental Boards c/o Commission on Dental Competency Assessments; Baltimore Gas and Electric Company; Behavioral Health System Baltimore; City of Rockville; Community Behavioral Health Association of Maryland…
UNFCelentano, MatthewFunk & Bolton, P.A.Registered for: 38 Degrees North; Advanced Energy United; Alliance of Maryland Dental Plans; Allstate Insurance Company; America's Health Insurance Plans; American Council of Life Insurers…
UNFCascone, HeatherPharmaceutical Care Management AssociationRegistered for: Pharmaceutical Care Management Association (PCMA)
UNFJohansen, MichaelRWLRegistered for: 1/ST Racing MD LLC; ASC Engineered Solutions; Access Holdings Management Company, LLC; Alterwood Health, Inc.; Ashley, Inc.; Baltimore Streetcar Museum…
UNFFesche, CamilleRWL on behalf of SCIRegistered for: Ashley, Inc.; Baltimore Symphony Orchestra; Behavioral Framework; Berkshire Hathaway Energy GT&S, LLC; Brewers Association of Maryland; Brown Advisory…
FWAVan Meter, AshlieAssociation for Accessible MedicinesRegistered for: Association for Accessible Medicines